Qualitative description of the results from first LDL-cholesterol (LDL-c) test performed after hospital arrival.

Suggested Data Collection Question:

How did the physician/advanced practice nurse/physician assistant (physician/APN/PA) qualitatively describe the results of the first LDL-cholesterol (LDL-c) test performed after hospital arrival?

Format:

Length:

1

Type:

Alphanumeric

Occurs:

1

Allowable Values:

1 Elevated LDL-c: Physician/APN/PA qualitatively described the results of the first LDL-c test performed after hospital arrival in terms consistent with elevated LDL-c.

2 No Elevated LDL-c: Physician/APN/PA qualitatively described the results of the first LDL-c test performed after hospital arrival in terms, which are NOT consistent with elevated LDL-c.

3 Not Documented: Physician/APN/PA did not qualitatively describe the results of the first LDL-c test performed after hospital arrival in any manner, or unable to determine from medical record documentation.

Notes for Abstraction:

If unable to determine which LDL-c test was performed first, select “Elevated LDL-c” if any of the descriptions are consistent with elevated LDL-c.

If there are discrepant qualitative descriptions documented for the same specimen (e.g., one description consistent with elevated LDL-c and one not consistent with elevated LDL-c), select “Elevated LDL-c.”

Suggested Data Sources:

Consultation notes

Emergency department record

History and physical

Progress notes

Discharge summary

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

LDL-cholesterol (LDL-c)

Low den lipoprotein

Low density lipoprotein (LDL)

Elevated LDL-c

Cholesterol described as elevated, high, or ↑

Dyslipidemia

Dyslipoproteinemia

Hyperbetalipoproteinemia

Hypercholesterolemia

Hyperlipemia

Hyperlipidemia

Hyperlipoproteinemia

LDL above goal or target

LDL described as elevated, high, or ↑

LDL-cholesterol (LDL-c) described as elevated, high, or ↑

Lipids described as elevated, high, or ↑

LDL-cholesterol (LDL-c) VLDL (very low density lipoprotein)

Elevated LDL-c

Alpha lipoproteinemia

Elevated LDL-c, or any of the other elevated LDL-c inclusion terms, described using one of the negative modifiers or qualifiers listed in Appendix H, Table 2.6, Qualifiers and Modifiers Table